Disfunción del tracto urinario inferior en niños con trastorno por déficit de atención e hiperactividad

Autores/as

  • Mohamed Elgohary Tanta University, Tanta, Egypt.
  • Osama El Gamal Tanta University, Tanta, Egypt.
  • Mohammad Abdel-Hakeem Tanta University, Tanta, Egypt.
  • Mohamed Elmaadawy Tanta University, Tanta, Egypt.
  • Salah Nagla Tanta University, Tanta, Egypt. https://orcid.org/0000-0003-2345-9853

DOI:

https://doi.org/10.48193/4cdj6996

Palabras clave:

Disfunción del tracto urinario inferior, Trastornos por déficit de atención e hiperactividad, Enuresis nocturna

Resumen

Objetivo: el objetivo de este trabajo fue identificar los diversos tipos de disfunciones del tracto urinario inferior (DUIT) en niños con Trastorno por Déficit de Atención e Hiperactividad (TDAH) y su respuesta al tratamiento.

Métodos: este estudio prospectivo se realizó con participantes de 6 a 18 años que cumplían los criterios de TDAH con cualquier tipo de DUIT, y solo con pacientes sin tratamiento urológico previo. Todos los pacientes recibieron el tratamiento psiquiátrico estándar con atomoxetina y/o metilfenidato. Los pacientes fueron reevaluados a los 1, 3 y 6 meses para evaluar la mejoría de los síntomas diurnos y la enuresis nocturna (EN).

Resultados: en nuestros 60 pacientes, no se observaron diferencias significativas entre la tasa de recurrencia de la EN y el tipo de TDAH. No se observaron diferencias significativas entre el tipo de TDAH y la respuesta al tratamiento de la enuresis. En cuanto a la respuesta al tratamiento de los síntomas diurnos, 14 (77,7 %) pacientes mostraron una respuesta completa, mientras que 4 (22,2 %) mostraron una respuesta completa. Los pacientes no mostraron respuesta. En pacientes con EN, 28 (66,7 %) mostraron respuesta completa, 8 (19,0 %) mostraron respuesta intermedia y 6 (14,3 %) no mostraron respuesta. En pacientes con EN no monosintomática, 14 (77,8 %) mostraron respuesta completa, mientras que 4 (22,2 %) no la mostraron.

Conclusiones: la terapia combinada de desmopresina e imipramina es eficaz para el tratamiento de la EN monosintomática en niños con TDAH, mientras que los fármacos anticolinérgicos más desmopresina son eficaces para la EN no monosintomática.

Limitaciones: el número de casos es pequeño y se necesitan más estudios multicéntricos para confirmar nuestra conclusión.

Originalidad: este manuscrito describe un trabajo original.

Biografía del autor/a

  • Mohamed Elgohary, Tanta University, Tanta, Egypt.

    urology specialist, Egypt

  • Osama El Gamal, Tanta University, Tanta, Egypt.

    professor of urology, Tanta university

  • Mohammad Abdel-Hakeem , Tanta University, Tanta, Egypt.

    professor of pediatric neuropsychiatry, Tanta,Egypt

  • Salah Nagla, Tanta University, Tanta, Egypt.

    A. professor of pediatric urology, Tanta,Egypt

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Publicado

2025-08-25

Número

Vol. 85 Núm. 4 (2025): Julio-Agosto

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Artículos originales

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Derechos de autor 2025 Revista Mexicana de Urología

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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.